Abstract
The prick test is a useful skin test for diagnosing immediate hypersensitivity response.
Sometimes it is necessary to perform prick tests on patients who have already received
antihistamines or corticosteroids. It is, however, occasionally uncertain whether
the results of prick tests are reliable. In this study, the inhibitory effects of
prednisolone (10 mg/day) and fexofenadine (120 mg/day) on the response to prick tests
induced with histamine and compound 48/80 were examined. During a 7-day-continual
drug administration, prick tests were performed 8 h after drug administration. The
inhibitory effects of fexofenadine on both the histamine- and compound 48/80-induced
skin responses were exhibited on the 1st day and persisted from 24 to 36 h after the
final administration. The histamine-induced wheal responses were not inhibited by
prednisolone, while the compound 48/80-induced flare and wheal responses were significantly
inhibited on the 5th day of drug administration. These responses returned to the baseline
level 24 h after the last drug administration. Thus, the results of skin tests performed
during administration of antihistamines and corticosteroids should be carefully interpreted.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Dermatological ScienceAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Urticaria.Int. J. Dermatol. 1981; 20: 32-41
- Effects of cetirizine and epinastine on the skin response to histamine iontophoresis.J. Dermatol. Sci. 2001; 25: 59-63
- Cutaneous responses to substance P and calcitonin gene-related peptide in chronic urticaria: the effect of cetirizine and dimethindene.Allergy. 1999; 54: 46-56
- Agonist–antagonist interactions in the skin: comparison of effects of loratadine and cetirizine on skin vascular responses to prick tests with histamine and substance P.J. Dermatol. Sci. 1992; 4: 172-179
- Substance P provokes cutaneous erythema and edema through a histamine-independent pathway.Int. J. Dermatol. 1992; 31: 206-209
- Cutaneous reactions to substance P and histamine in atopic dermatitis.Br. J. Dermatol. 1990; 122: 343-349
- Skin reactivity to codeine and histamine during prolonged corticosteroid therapy.J. Allergy Clin. Immunol. 1990; 86: 153-159
- Skin test used in type 1 allergy testing, Position paper.Allergy. 1989; 44: 22-30
- Cetirizine inhibits bradykinin-induced cutaneous wheal and flare in atopic and healthy subjects.Allergy. 2000; 55: 888-891
- Histamine is released in the weal but not the flare following challenge of human skin in vivo: A microdialysis study.Clin. Exp. Allergy. 1997; 27: 284-295
- Is the histamine skin test inhibited by prednisone?.Arch. Med. Res. 1998; 29: 63-65
- Fexofenadine.Drugs. 1998; 55: 269-274
- Anti-inflammatory steroids induce biosynthesis of a phospholipase A2 inhibitor which prevents prostaglandin biosynthesis.Nature. 1979; 278: 456-459
- Glucocorticoids inhibit prostaglandin synthesis not only at the level cyclo-oxygenase/PGE isomerase.Br. J. Pharmacol. 1989; 98: 1287-1295
- Anti-inflammatory effects of polyamines in serotonin and carragreenan paw edemata-possible mechanism to increase vascular permeability inhibitory protein level which is regulated by glucocorticoids and superoxide radical.Agents Actions. 1984; 14: 228-237
- Inhibition of vascular permeability increase in mice.Int. Arch. Allergy Appl. Immunol. 1988; 87: 254-259
- Suppression by dexamethasone of vascular permeability responses induced with leukotrienes C and D in the rat skin.Prostaglandins. 1981; 21: 649-653
- Time-dependent inhibition of bradykinin- and histamine-induced microvasucular permeability increase by local glucocorticoid treatment.Prog. Respir. Res. 1985; 19: 173-180
- Methylprednisolone acts at the endtherial cell level reducing inflammatory responses.Acta Physiol. Scand. 1985; 123: 221-223
- Vasoregulin, a glucocorticoid-inducible vascular permability inhibitory protein.Agent Actions. 1985; 17: 270-277
- Multiple control of inflammation by glucocorticoids.Agents Actions. 1985; 17: 284-289
Article info
Publication history
Accepted:
July 15,
2002
Received in revised form:
July 15,
2002
Received:
April 17,
2002
Identification
Copyright
© 2002 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.